Good Practices in the Promotion of Coronary Vascular Health - Evaluation of Risk Factors

Author

DR MOHD ZAMRIN DIMON / UNIVERSITI KEBANGSAAN MALAYSIA

Language

English

Title

Good Practices in the Promotion of Coronary Vascular  Health - Evaluation of Risk Factors

Proceeding

7th INTRACOM – 2nd ICBWI 2009

Date

25th July 2009

Place Held

PWTC, Kuala Lumpur

Abstract

OBJECTIVES
To evaluate the pre-operative risk factors and post-operative outcome in patients under 45 years of age undergoing coronary artery bypass graft surgery (CABG)


METHODS
Retrospective review of a total of 45 patients who had CABG between January 2001 and August 2008. The demographic, clinical, echocardiographic and operative data as well as the post-operative complications were analyzed.


RESULTS
Mean age of 41.5 years (range 29 – 45). 86.6% were male. Racial distribution was 42.2% Malay, 31.1% Chinese and 26.7% Indian. Mean BMI was 27.2  4.3 kg/m3. The presence of risk factors was high where 64.4% of patients had hypertension, 66.7% were smokers, 55.6% had diabetes mellitusand 88.9% had hypercholesterolaemia. Forty six percent of them had family history of coronary artery disease within their first degree relatives. The majority of patients (51%) underwent CABG for severe angina (NYHA class III or higher). Mean ejection fraction was 45% (range  20 – 70). Post-operative complications: 20% wound  infection, 11.1% - reopening for bleeding, prolonged mechanical ventilation > 24 hours – 8.9%, acute renal failure – 6.7% and cerebrovascular accident – 4.4 %. The was one post-operative disseminated intravascular coagulopathy, one hospital death and one sternal wound dehiscence. Mean CICU and hospital stay was 2.5  2.0 and 6.5   3.9 days, respectively.


CONCLUSIONS
The presence of risk factors was high among our young patients who underwent coronary artery bypass graft surgery. The outcome of CABG in young patients showed a proven clinical benefit with acceptable post-operative complication. However further study need to be undertaken to identify the correlation of risk factors with the development of the disease and the long term outcome of this sub-group of patients. This presentation will elaborate the common risk factors of the development of coronary artery disease in our population as general.

Keywords

Vascular  Health, Risk factors

Session

Symposium 5C (ICBWI)

Topic

Health Promotion & Wellness Technology